Pah
Uber all member
My position in this debate is that abortion does cause harm to some women undergoing elective, induced abortion. Some may consider it strange that an advocate of a womans right to choice would eagerly present what seems to be an argument for those who hold the life of a fetus to be primary. Rather, it is important to be honest in the emotional considerations of a social issue. Let the chips fall where they may.
I will explore the harm in three categories - physical, physiological and spiritual. Harm in gestation is a term that relates to risk and I will answer the question by citing the statistics of risk, where known, and providing argument that I consider to be common sense where statistics were not found. All arguments from common sense will have exceptions but I believe that the exceptions will not deter the reasonableness of the point I present.
The abortion to be debated is one of elective choice by a pregnant woman and not of the spontaneous abortion which is included in maternal health - even though many risks of elective abortion are qualitatively coincident to maternal health. We will not speak of maternal health as it is beyond the debating question.
Nor will I speak to the motivation for seeking abortion or those providing abortion services.. The starting point for debate is the assessment of harm that a decision for elective abortion engenders.
The risk I cite will be one of statistical evidence and where percentages or given in the source, I will endeavor to calculate a figure based upon the number of elective abortions at the particular stage of gestation. The calculations will be based upon United States statistics which are generally more complete than many other regions of the world.
Facts of total abortions in the United States for the years 1973-2000
The number for calculation I will use is 1.31 million abortions (or 21 per 1000) from the year 2000 admittedly a downward trend from an estimated high in 1980 of 29 women per 1000.
It is important to note that harm is generally presented anecdotally and as such gives no picture of the totality of women involved. Risk is given for women based upon statistics derived from, hopefully, objective studies. I will not be including anecdotal evidence.
Physical Risks
There is a great deal of overlap. Dying during and post-operative to an abortion procedure is normally caused by hemorrhaging. Placenta previa is a cause of hemorrhage but its tendency is furthered by abortion. Complications of labor may be caused by damage to the cervix and infection of the uterus. My accumulation of data from some sources may not consider a primary cause but concentrate on a narrower focus as a risk factor and vice versa. In other words, the figure for death might better have gone into the hemorrhaging of the patient with a second causation specified. Various reporting criteria and the protocol of the study may cause a double count in my presentation
I would also like to talk about breast cancer as a result of abortion in this introduction.
This is certainly not a good picture in which to evaluate risk. It is given, though, to show that some studies show causation and some do not, but, in my mind, it can not be conclusive.
Physiological (or emotional) Risks
Post Abortion Stress.
Many of these can lead to clinical depression.
Most of these stress factors also occur with women contemplating abortion. Further factors may be the fear of an invasive medical procedure and the disapproval of those close to the woman in whatever form that is manifested.. Those that ultimately choose abortion definitely qualify for inclusion in the group of women that are harmed by abortion. Some may consider it semantics but those who only consider an abortion, and choose not to proceed, could be included. I will not speak, beyond this disclaimer, of these women to avoid the semantics.
It is also acknowledged by some studies that physiological factors may already be present in the mental health history of the patient and may be aggravated by an increased level of stress caused by abortion, a catalyst, if you will, to reach a clinical level of the distress. Even though a prior condition is present, the harm is caused by the elective abortion.
Spiritual Risk
Guilt and fear of ostracization are the primary harms in regard to religious faith. Guilt in that a tenet of the faith considers abortion to be a sin, being disobedient to the word of ones God. Ostracization may occur in some congregations that practice a form of shunning.
(1)http://www.agi-usa.org/pubs/fb_induced_abortion.html The Alan Guttmacher Institute, Induced Abortion
(2)http://www.geocities.com/pregnancyhelpnow/risks_of_abortion.html Pregnancy Help Now, Abortion Risks
(3)http://www.afterabortion.org/physica.html Elliot Institute, A list of major physical sequelae related to abortion
(4)http://www.motherjones.com/news/outfront/1995/03/castleman.html, Mother Jones.com, Abortions Risk
I will explore the harm in three categories - physical, physiological and spiritual. Harm in gestation is a term that relates to risk and I will answer the question by citing the statistics of risk, where known, and providing argument that I consider to be common sense where statistics were not found. All arguments from common sense will have exceptions but I believe that the exceptions will not deter the reasonableness of the point I present.
The abortion to be debated is one of elective choice by a pregnant woman and not of the spontaneous abortion which is included in maternal health - even though many risks of elective abortion are qualitatively coincident to maternal health. We will not speak of maternal health as it is beyond the debating question.
Nor will I speak to the motivation for seeking abortion or those providing abortion services.. The starting point for debate is the assessment of harm that a decision for elective abortion engenders.
The risk I cite will be one of statistical evidence and where percentages or given in the source, I will endeavor to calculate a figure based upon the number of elective abortions at the particular stage of gestation. The calculations will be based upon United States statistics which are generally more complete than many other regions of the world.
Facts of total abortions in the United States for the years 1973-2000
49% of pregnancies among American women are unintended; 1/2 of these are terminated by abortion. [note: nearly 1/4 of all pregnancies terminate by induced abortion - pah]
In 2000, 1.31 million abortions took place, down from an estimated 1.36 million in 1996. From 1973 through 2000, more than 39 million legal abortions occurred.
Each year, 2 out of every 100 women aged 15-44 have an abortion; 48% of them have had at least one previous abortion and 61% have had a previous birth.
Each year, an estimated 46 million abortions occur worldwide. Of these, 20 million procedures are obtained illegally.
52% of U.S. women obtaining abortions are younger than 25: Women aged 20-24 obtain 33% of all abortions, and teenagers obtain 19%.
2/3 of all abortions are among never-married women.
Over 60% of abortions are among women who have had 1 or more children.(1)
The number for calculation I will use is 1.31 million abortions (or 21 per 1000) from the year 2000 admittedly a downward trend from an estimated high in 1980 of 29 women per 1000.
It is important to note that harm is generally presented anecdotally and as such gives no picture of the totality of women involved. Risk is given for women based upon statistics derived from, hopefully, objective studies. I will not be including anecdotal evidence.
Physical Risks
- Hemorrhage
- Perforation of the uterus
- Infection of the uterus
- Injury to the cervix
- Entropic pregnancy for later conceptions
- Precursor to breast cancer
- Death(2)
- Cervical, ovarian and liver cancer
- Placenta previa
- Complications of labor
- Pelvic inflammatory disease (3)
There is a great deal of overlap. Dying during and post-operative to an abortion procedure is normally caused by hemorrhaging. Placenta previa is a cause of hemorrhage but its tendency is furthered by abortion. Complications of labor may be caused by damage to the cervix and infection of the uterus. My accumulation of data from some sources may not consider a primary cause but concentrate on a narrower focus as a risk factor and vice versa. In other words, the figure for death might better have gone into the hemorrhaging of the patient with a second causation specified. Various reporting criteria and the protocol of the study may cause a double count in my presentation
I would also like to talk about breast cancer as a result of abortion in this introduction.
Nine studies show that induced abortion may increase the risk of contracting breast cancer, by as little as 10 percent to as much as 100 percent; 4 studies of spontaneous abortions show they increase risk. Abortion before a first full-term pregnancy appears to increase risk the most (1 study shows risk increasing with the number of abortions). Eight studies, 7 of which were of induced abortions, show no increased risk. Finally, 3 studies show that abortion decreases breast cancer risk (4)
This is certainly not a good picture in which to evaluate risk. It is given, though, to show that some studies show causation and some do not, but, in my mind, it can not be conclusive.
Physiological (or emotional) Risks
Post Abortion Stress.
- Guilt
- Anger
- Flashbacks
- Sexual dysfunction
- Memory repression
- Anniversary reactions
- Suicidal ideas
- Hallucinations
- Difficulty keeping close relationships
- Increased alcohol and drug use(2)
Many of these can lead to clinical depression.
Most of these stress factors also occur with women contemplating abortion. Further factors may be the fear of an invasive medical procedure and the disapproval of those close to the woman in whatever form that is manifested.. Those that ultimately choose abortion definitely qualify for inclusion in the group of women that are harmed by abortion. Some may consider it semantics but those who only consider an abortion, and choose not to proceed, could be included. I will not speak, beyond this disclaimer, of these women to avoid the semantics.
It is also acknowledged by some studies that physiological factors may already be present in the mental health history of the patient and may be aggravated by an increased level of stress caused by abortion, a catalyst, if you will, to reach a clinical level of the distress. Even though a prior condition is present, the harm is caused by the elective abortion.
Spiritual Risk
Guilt and fear of ostracization are the primary harms in regard to religious faith. Guilt in that a tenet of the faith considers abortion to be a sin, being disobedient to the word of ones God. Ostracization may occur in some congregations that practice a form of shunning.
(1)http://www.agi-usa.org/pubs/fb_induced_abortion.html The Alan Guttmacher Institute, Induced Abortion
(2)http://www.geocities.com/pregnancyhelpnow/risks_of_abortion.html Pregnancy Help Now, Abortion Risks
(3)http://www.afterabortion.org/physica.html Elliot Institute, A list of major physical sequelae related to abortion
(4)http://www.motherjones.com/news/outfront/1995/03/castleman.html, Mother Jones.com, Abortions Risk